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Restructuring and integration expense (Tables)
6 Months Ended
Jun. 30, 2022
Restructuring and Related Activities [Abstract]  
Restructuring and integration expense
Restructuring and integration expense is reflected on the consolidated statements of comprehensive income as follows:

 Quarter Ended
June 30,
Six Months Ended
June 30,
(in thousands)2022202120222021
Total cost of revenue$26 $615 $85 $1,514 
Operating expenses15,182 11,364 31,426 25,677 
Restructuring and integration expense$15,208 $11,979 $31,511 $27,191 
Restructuring and integration expense for each period was comprised of the following:
 Quarter Ended
June 30,
Six Months Ended
June 30,
(in thousands)2022202120222021
External consulting fees$9,141 $5,540 $17,000 $12,923 
Internal labor2,604 2,480 4,300 4,520 
Employee severance benefits3,281 1,018 4,406 1,875 
Other182 2,941 5,805 7,873 
Restructuring and integration expense$15,208 $11,979 $31,511 $27,191 
Changes in restructuring and integration accruals
Changes in our restructuring and integration accruals were as follows:
(in thousands)Employee severance benefits
Balance, December 31, 2021
$5,672 
Charges5,102 
Reversals(696)
Payments(5,667)
Balance, June 30, 2022
$4,411